The Specific Level of Functioning Scale: Construct validity, internal consistency and factor structure in a large Italian sample of people with schizophrenia living in the community

Mucci, Armida; Rucci, Paola; Rocca, Paola; Bucci, Paola; Gibertoni, Dino; Merlotti, E.; Galderisi, Silvana; Maj, Mario

doi:10.1016/j.schres.2014.07.044

Cited by 73 publications

(62 citation statements)

References 48 publications

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“…Real‐life functioning was assessed by the Specific Level of Functioning Scale (SLOF), a hybrid instrument that explores many aspects of functioning and is based on the key caregiver's judgment on patient's behavior and functioning. SLOF “interpersonal relationships” , “everyday life skills” and “work skills” domains were included in statistical analyses.…”

Section: Methodsmentioning

confidence: 99%

The interplay among psychopathology, personal resources, context‐related factors and real‐life functioning in schizophrenia: stability in relationships after 4 years and differences in network structure between recovered and non‐recovered patients

et al. 2020

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Improving real‐life functioning is the main goal of the most advanced integrated treatment programs in people with schizophrenia. The Italian Network for Research on Psychoses previously explored, by using network analysis, the interplay among illness‐related variables, personal resources, context‐related factors and real‐life functioning in a large sample of patients with schizophrenia. The same research network has now completed a 4‐year follow‐up of the original sample. In the present study, we used network analysis to test whether the pattern of relationships among all variables investigated at baseline was similar at follow‐up. In addition, we compared the network structure of patients who were classified as recovered at follow‐up versus those who did not recover. Six hundred eighteen subjects recruited at baseline could be assessed in the follow‐up study. The network structure did not change significantly from baseline to follow‐up, and the overall strength of the connections among variables increased slightly, but not significantly. Functional capacity and everyday life skills had a high betweenness and closeness in the network at follow‐up, as they had at baseline, while psychopathological variables remained more peripheral. The network structure and connectivity of non‐recovered patients were similar to those observed in the whole sample, but very different from those in recovered subjects, in which we found few connections only. These data strongly suggest that tightly coupled symptoms/dysfunctions tend to maintain each other's activation, contributing to poor outcome in schizophrenia. Early and integrated treatment plans, targeting variables with high centrality, might prevent the emergence of self‐reinforcing networks of symptoms and dysfunctions in people with schizophrenia.

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Section: Methodsmentioning

confidence: 99%

The interplay among psychopathology, personal resources, context‐related factors and real‐life functioning in schizophrenia: stability in relationships after 4 years and differences in network structure between recovered and non‐recovered patients

et al. 2020

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“…Real-life functioning. Real-life functioning was assessed by means of the Specific Levels of Functioning Scale (SLOF) (59,60), an instrument endorsed by the panel of experts involved in the Validation of Everyday Real-World Outcomes (VALERO) initiative as a suitable measure exploring different domains of functioning (61,62). The following domains, characterized by a sufficient level of variability, were analyzed: interpersonal relationships, community activities (e.g.…”

Section: Assessmentsmentioning

confidence: 99%

Premorbid academic and social functioning in patients with schizophrenia and its associations with negative symptoms and cognition

Bucci

Galderisi

Mucci

et al. 2018

Acta Psychiatr Scand

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“…Cognitive dysfunctions are associated with poor functional outcome6,7 and quality of life8 in these patients. Evidence has been provided that cognitive deficits have a greater impact on functional outcome than positive or negative symptoms 9,10…”

Section: Introductionmentioning

confidence: 99%

SoCIAL – training cognition in schizophrenia: a pilot study

Palumbo

Mucci

Piegari

et al. 2017

NDT

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The purpose of this pilot study was to assess the efficacy of a new social cognition (SC) remediation intervention, the Social Cognition Individualized Activities Lab (SoCIAL), for subjects with schizophrenia. The training includes a module for emotion recognition and one for theory of mind. A comparison with a validated cognitive remediation intervention, the Social Skills And Neurocognitive Individualized Training (SSANIT), was conducted to verify the efficacy of the SoCIAL in improving SC. Ten stabilized patients with schizophrenia accepted to participate. Five patients were randomized to SoCIAL and five to SSANIT. The SoCIAL intervention includes individual sessions of neurocognitive individualized training (NIT) and group sessions of SC training. SSANIT includes individual sessions of NIT and group sessions of social skills individualized training. The interventions were matched for the overall treatment duration (20 weeks) and for the frequency of the sessions (two times a week, one for SoCIAL or social skills individualized training and one for NIT, with a duration of 80 minutes for each session). Results showed a significant treatment effect (effect size: Cohen’s d 0.32) on the primary outcome; in fact, only the SoCIAL intervention improved theory of mind. Patients receiving the SoCIAL intervention also showed an improvement of avolition. These preliminary findings support further development of the SoCIAL and suggest that cognitive remediation should include an SC module.

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The Specific Level of Functioning Scale: Construct validity, internal consistency and factor structure in a large Italian sample of people with schizophrenia living in the community

Cited by 73 publications

References 48 publications

The interplay among psychopathology, personal resources, context‐related factors and real‐life functioning in schizophrenia: stability in relationships after 4 years and differences in network structure between recovered and non‐recovered patients

The interplay among psychopathology, personal resources, context‐related factors and real‐life functioning in schizophrenia: stability in relationships after 4 years and differences in network structure between recovered and non‐recovered patients

Premorbid academic and social functioning in patients with schizophrenia and its associations with negative symptoms and cognition

SoCIAL – training cognition in schizophrenia: a pilot study

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The Specific Level of Functioning Scale: Construct validity, internal consistency and factor structure in a large Italian sample of people with schizophrenia living in the community

Cited by 73 publications

References 48 publications

The interplay among psychopathology, personal resources, context‐related factors and real‐life functioning in schizophrenia: stability in relationships after 4 years and differences in network structure between recovered and non‐recovered patients

The interplay among psychopathology, personal resources, context‐related factors and real‐life functioning in schizophrenia: stability in relationships after 4 years and differences in network structure between recovered and non‐recovered patients

Premorbid academic and social functioning in patients with schizophrenia and its associations with negative symptoms and cognition

SoCIAL &ndash; training cognition in schizophrenia: a pilot study

Contact Info

Product

Resources

About

SoCIAL – training cognition in schizophrenia: a pilot study